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首页> 外文期刊>Journal of paediatrics and child health >Reporting the incidence of unplanned extubation in the neonatal intensive care unit
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Reporting the incidence of unplanned extubation in the neonatal intensive care unit

机译：报告新生儿重症监护病房中无计划拔管的发生率

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Aim The aim of this study was to highlight the incidence of unplanned extubation (UE) and identify associated factors in our neonatal population. Methods This study was a prospective audit. Results A specifically designed audit tool was used to capture UE events; 182 neonates required mechanical ventilation for 863 days. There were 41 episodes of UE. The UE rate was 4.75 per 100 days of ventilation. At the time of UE, median gestational age of patients was 27.3 weeks (23.4–37.6), with a corrected age median of 29.2 weeks (23.4–37.6). Re‐intubation was required in two thirds of the patients for increasing apnoea and increased work of breathing. Endotracheal tubes are secured in a standardised way either using Neobar or brown tape. UE events occurred with both methods. The two most common factors associated with UE included active handling of the baby and the time of day (0700–1000 h). Conclusions This audit has provided our neonatal intensive care unit with a benchmark for improvement. It has also created staff awareness of the risk of UE and promoted staff engagement to reduce UE. A bundle approach to reduce UE has been introduced. Future audits are planned to monitor the impact of these initiatives.
机译：目的本研究的目的是强调计划外拔管（UE）的发生率，并确定新生儿人群中的相关因素。方法本研究为前瞻性研究。结果使用了专门设计的审计工具来捕获UE事件；182名新生儿需要机械通气863天。共有41集。UE率为每100天通气4.75次。UE时，患者的平均胎龄为27.3周（23.4–37.6），校正后的平均胎龄为29.2周（23.4–37.6）。三分之二的患者需要重新插管，以增加呼吸暂停和呼吸功。气管插管采用标准化方法固定，可使用Neobar或棕色胶带。两种方法都发生了UE事件。与UE相关的两个最常见的因素包括积极处理婴儿和一天中的时间（0700–1000小时）。结论本次审计为我们的新生儿重症监护室提供了一个改进的基准。它还让员工意识到UE的风险，并促进员工参与以减少UE。引入了一种捆绑方法来减少UE。计划在未来进行审计，以监测这些举措的影响。

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